Technical Field
[0001] The present invention relates to a light irradiation device and a control method
for a light irradiation device.
Background Art
[0002] Conventionally, a light irradiation device is known for use in a therapeutic technique
in which therapeutic light is emitted to a treatment target site of a subject to which
a medicine containing a photosensitive substance has been administered. Such a device
is disclosed in, for example, International Publication No.
WO 2021-038913.
[0003] International Publication No.
WO 2021/038913 described above discloses a light irradiation device for use in photoimmunotherapy.
Photoimmunotherapy is a therapeutic method in which a medicine containing a fluorescent
material that causes a photochemical reaction and an antibody that selectively binds
to a cancer cell is administered into a body of a cancer patient, and the cancer cells
are irradiated with light in a specific wavelength range corresponding to the fluorescent
material to generate a photochemical reaction to thereby destroy the cancer cells.
The light irradiation device is equipped with an excitation light source for emitting
light in a specific wavelength range corresponding to a fluorescent material (hereinafter
referred to as "therapeutic light") and an optical fiber for guiding the therapeutic
light to the cancer cells.
Prior Art Document
Patent Document
[0004] Patent Document 1: International Publication No.
WO 2021/038913
SUMMARY OF THE INVENTION
Problems to be Solved by the Invention
[0005] Although not disclosed in International Publication No.
WO 2021/038913, there are cases where a plurality of optical fibers is used to guide therapeutic
light from an excitation light source, depending on the size of the treatment target
site. The optical fiber is a long, thin, cable-like light guiding member drawn from
the light output port of the excitation light source to the patient. Therefore, when
using a plurality of light guide members, it may sometimes become difficult to identify
which light guide member is connected to which light output port because the plurality
of light guide members becomes entangled with each other between the light output
ports and the patient. In cases where it is not known which light guide member is
connected to which light output port, it becomes difficult to set the intensity of
the therapeutic light emitted from each light guide member and adjust the intensity
of the therapeutic light to match the set value.
[0006] Further, the therapeutic light emitted from the light guiding member is high-intensity
(high power) laser light, and the operator involved in the treatment need to wear
light-shielding glasses for shielding the light in the wavelength range including
the therapeutic light to protect his/her eyes from the laser light. Therefore, it
is not easy to visually recognize the therapeutic light through the light-shielding
glasses even if the therapeutic light is emitted from the light guide member to check
the connection with the individual light output ports. Therefore, complicated work
to untangle the plurality of light guide members is required before the treatment,
which is an inconvenience that lengthens the preparation time required until the start
of the treatment.
[0007] The present invention has been made to solve the above-described problems. One object
of the present invention is to provide a light irradiation device and a control method
for the light irradiation device capable of easily identifying which light guiding
member is connected to which light output port.
Means for Solving the Problems
[0008] In order to achieve the above-describe object, a light irradiation device according
to a first aspect of the present invention is a light irradiation device for irradiating
a treatment target site of a subject to which a medicine containing a photosensitive
substance has been administered with therapeutic light, the light irradiation device
comprising:
a light source including a plurality of light output ports, the light source being
configured to emit the therapeutic light and identification light from each of the
plurality of light output ports, the identification light being lower in intensity
than the therapeutic light;
a plurality of light guide members each having an incident end to be connected to
one of the plurality of light output ports of the light source and an emission end
to emit light incident from the incident end; and
a controller configured to control the light source,
wherein the controller is configured to perform control to cause the identification
light to be emitted from each of the plurality of light output ports to light up the
plurality of light guide members connected to the plurality of light output ports,
respectively, in an identifiable manner.
[0009] A control method for a light irradiation device according to a second aspect of the
present invention is a control method for a light irradiation device for irradiating
a treatment target site of a subject to which a medicine containing a photosensitive
substance has been administered with therapeutic light, the control method comprising:
a step of causing identification light lower in intensity than the therapeutic light
to be emitted from each of the plurality of light output ports to which the plurality
of light guide members is connected, respectively, to light up the plurality of light
guide members connected to the plurality of light output ports in an identifiable
manner; and
a step of causing the therapeutic light to be emitted from each of the plurality of
light output ports.
Effects of the Invention
[0010] According to the present invention, as described above, the control to light up a
plurality of light guiding members connected to the plurality of light output ports,
respectively, in an identifiable manner by causing identification light lower in intensity
(lower in power) than the therapeutic light to be emitted from each of the plurality
of light output ports. For example, the identification light is emitted separately
from the plurality of light output ports one by one, or the identification light different
in lighting pattern (e.g., blinking speed) is emitted from the plurality of light
output ports simultaneously. With this, it is possible to confirm that the identification
light from each of the light output ports is emitted from which of the plurality of
light guide members. At this time, from the light guide member, the identification
light lower in intensity than the therapeutic light is emitted, so that the identification
light can be confirmed without the use of light-shielding glasses. As a result, even
in a case where a plurality of light guide members remains entangled, it is possible
to easily identify which light guide member is connected to which light output port
by the identification light. Further, with this configuration, it becomes possible
to shorten the preparation time required before initiating the treatment.
BRIEF DESCRIPTION OF THE DRAWINGS
[0011]
FIG. 1 is a schematic configuration diagram of a light irradiation device according
to one embodiment.
FIG. 2 is a schematic diagram showing a state in which identification light is caused
to be emitted from a light guide member connected to a light source.
FIG. 3 shows a schematic diagram showing a forward emission type light guide member
(A) and a circumferential emission type light guide member (B).
FIG. 4 is a block diagram showing a configuration of a light source unit equipped
by a light source.
FIG. 5 is a schematic perspective diagram showing light-shielding glasses.
FIG. 6 is a block diagram for explaining a configuration of a controller of a light
irradiation device.
FIG. 7 is a schematic diagram showing one example of an operation reception screen
displayed on a display unit.
FIG. 8 is a timing chart showing one example of a lighting-on/lighting-off pattern
of identification light at each light output port.
FIG. 9 is a flowchart showing a control method for a light irradiation device.
FIG. 10 is a flowchart showing output processing of identification light.
FIG. 11 is a schematic diagram of a modification in which a first light source generates
therapeutic light (A) and therapeutic light (B).
EMBODIMENTS FOR CARRYING OUT THE INVENTION
[0012] Hereinafter, some embodiments in which the present invention is embodied will be
described based on the attached drawings.
[0013] Referring to FIG. 1 to FIG. 8, a configuration of a light irradiation device 100
according to one embodiment of the present invention will be described.
[0014] The light irradiation device 100 shown in FIG. 1 is a light irradiation device for
irradiating the treatment target site 101a of a subject to which a medicine containing
a photosensitive substance has been administered with therapeutic light 80. In this
embodiment, the light irradiation device 100 used for photoimmunotherapy will be described.
[0015] Photoimmunotherapy is a therapeutic method in which a medicine containing a fluorescent
material that causes a photochemical reaction and an antibody that selectively binds
to a cancer cell are administered into the body of a cancer patient, and the cancer
cells are irradiated with light in a specific wavelength range corresponding to the
fluorescent material to generate a photochemical reaction to thereby destroy the cancer
cells.
[0016] In therapeutic photoimmunotherapy, a medicine 102 is administered into the body of
a cancer patient 101 before the treatment. The medicine 102 contains a complex of
a fluorescent material that emits fluorescence and an antibody. The cancer patient
101 is one example of the "subject" recited in claims. Further, the cancer patient
101 may be an animal other than a human being.
[0017] The fluorescent material is a substance that causes a photochemical reaction by being
continuously irradiated with light in a specific wavelength range. In a photoimmunotherapy
treatment (a treatment to kill cancer cells based on irradiating a medicine 102 containing
a fluorescent material with light in a specific wavelength range), the therapeutic
light 80 in a specific wavelength range in which the fluorescent material corresponding
to the type of the fluorescent material in the medicine 102 administered to the cancer
patient 101 causes a photochemical reaction is emitted to the treatment target site
101a of the cancer patient 101 by the light irradiation device 100. The treatment
target site 101a is, for example, but not explicitly limited to, a head and neck,
a chest, an abdomen, a back, or an organ in the body (e.g., a digestive tract, a liver,
an adrenal gland, etc.).
[0018] Further, the fluorescent material is a substance that emits fluorescence when excited
by being irradiated with the therapeutic light 80. The fluorescent material is, for
example, a chemical, such as, e.g., IRDye (registered trademark) 700DX (hereafter
referred to as "IR700"). IR700 is excited by the light with a wavelength of 600 nm
or more and 700 nm or less and emits light with a wavelength of about 700 nm or about
770 nm as fluorescence.
[0019] The therapeutic light 80 is light in the wavelength range in which the fluorescent
material of the medicine 102 used for treatment causes a photochemical reaction and
differs depending on the type of fluorescent material of the medicine used for treatment.
In the case where IR700 is used as the fluorescent material, the therapeutic light
80 is light with a wavelength of 600 nm or more and 700 nm or less, for example, nonthermal
red light (near-infrared light) with a wavelength of about 690 nm.
[0020] The antibody contained in the medicine 102 selectively binds to the antigen (a specific
protein expressed on cancer cells) of cancer cells. Therefore, the antibody is selected
according to the antigen of the cancer cells to be treated. The antibody is, for example,
cetuximab.
[0021] The medicine 102 is administered in advance to the cancer patient 101 before emitting
the therapeutic light 80. The medicine 102 administered to the cancer patient 101
circulates through the body of the cancer patient 101 by the blood flow and selectively
binds to the antigen of the cancer cells present at the treatment target site 101a
by the antibody. The fluorescent material in the medicine 102 absorbs light in a specific
wavelength range according to the fluorescent material to cause a photochemical reaction,
which changes the chemical structure of the fluorescent material. This change in the
chemical structure of the fluorescent material causes a change in the steric structure
of the antibody. And, the change in the steric structure of the antibody bound to
the cancer cells causes damage to the cell membrane of the cancer cells. As a result,
the cancer cells are swollen and ruptured by the water that has penetrated through
the damaged portions of the membranes of the cancer cells, thereby destroying (killing)
the cancer cells. Note that the fluorescent material will no longer emit fluorescence
after causing a change in its chemical structure due to a photochemical reaction.
[0022] In this embodiment, the following description will be directed to near-infrared photoimmunotherapy
(Near-Infrared Photoimmunotherapy: NIR-PIT), which uses, among other things, a medicine
102 using IR700, which is sensitive to near-infrared light, as the fluorescent material
and near-infrared rays as the therapeutic light 80, but the near-infrared photoimmunotherapy
is not limited thereto.
(Configuration of Light Irradiation Device)
[0023] As shown in FIG. 1, the light irradiation device 100 is configured to output therapeutic
light 80 in a specific wavelength range according to the fluorescent material contained
in the medicine 102 used for photoimmunotherapy. The light irradiation device 100
is equipped with a light source 10, a plurality of light guide members 20, and a controller
30. Further, in the example shown in FIG. 1, the light irradiation device 100 is further
equipped with a light detection unit 40, a display unit 51, a first operation unit
52, and a second operation unit 53.
[0024] The light source 10 includes a plurality of light output ports 12. The light source
10 is configured to emit therapeutic light 80 and identification light 90 (see FIG.
2) from each of the plurality of light output ports 12.
[0025] The therapeutic light 80 is light of a first wavelength included in an absorption
wavelength bandwidth of the fluorescent material contained in the medicine 102 administered
into the body of the cancer patient 101 in the treatment in photoimmunotherapy. The
therapeutic light 80 of the first wavelength is absorbed by the fluorescent material
to excite the fluorescent material, thereby generating a photochemical reaction.
[0026] On the other hand, the identification light 90 (see FIG. 2) is used to identify the
light guide members 20 connected to the plurality of light output ports 12, respectively.
As will be described below, the light guide member 20 is a cable-like member that
is drawn from the light output port 12 to the cancer patient 101 on the bed 103. Therefore,
as shown in FIG. 2, the plurality of light guide members 20 connected to the plurality
of light output ports 12, respectively, may sometimes be entangled with each other.
In this case, it is difficult for the operator to determine which light guide member
20 is connected to which light output port 12. With the lighting-on of the identification
light 90, the connection relation between the light guide member 20 and the light
output port 12 is confirmed. The identification light 90 is light lower in intensity
than the therapeutic light 80. In this embodiment, the identification light 90 is
light of a second wavelength different from the first wavelength. In other words,
the identification light 90 is light different in color from the therapeutic light
80.
[0027] The light output port 12 is an emission port for the therapeutic light 80 and the
identification light 90, as well as a connection port for the light guide member 20.
One light output port 12 is connected by one light guide member 20. The number of
light output ports 12 is not expressly limited as long as it is plural. In the example
shown in FIG. 1, an example is shown in which the light source 10 includes four light
output ports 12. The plurality of light output ports 12 is each configured to emit
light (the therapeutic light 80 and/or the identification light 90) to the incident
end 21 of the light guide member 20 connected to the light output port 12. The plurality
of light output ports 12 is each assigned by a port number. In the example shown in
FIG. 1, the four light output ports 12 are distinguished from each other as "PORT
1" to "PORT 4."
[0028] The light source 10 is provided with a plurality of light source units 11. The plurality
of light source units 11 is provided in the same number as the number of the light
output ports 12, and each light source unit 11 has one light output port 12.
[0029] The plurality of light source units 11 each includes a first light source 13a (see
FIG. 4) for generating therapeutic light 80 and a second light source 13b (see FIG.
4) for generating identification light 90 (see FIG. 2). The plurality of light source
units 11 can emit the therapeutic light 80 and the identification light 90, independently.
Therefore, the light source 10 is configured to emit the therapeutic light 80 and
the identification light 90 independently from the plurality of light output ports
12. Further, the light source 10 can individually switch the emission and emission
stop of the therapeutic light 80 from each of the plurality of light output ports
12. Similarly, the light source 10 is configured to individually switch the emission
and emission stop of the identification light 90 from each of the plurality of light
output ports 12.
[0030] The light guide member 20 is connected to any one of the light output ports 12 of
the light source 10 and thus functions to guide the light emitted from the light output
port 12 to the treatment target site 101a. The plurality of light guide members 20
is connected to the plurality of light output ports 12, respectively. The light guide
member 20 is a disposable consumable. The maximum number of the light guide members
20 that can be simultaneously connected to the light source 10 is the number of the
light output ports 12. The number of the light output ports 12 (i.e., the number of
the light guide members 20) used simultaneously is determined according to the treatment
content. In FIG. 1, a total of four light guide members 20 are connected to the four
light output ports 12 one by one.
[0031] Each of the individual light guide members 20 has an incident end 21 to be connected
to one of the plurality of light output ports 12 of the light source 10 and an emission
end 22 for emitting light incident from the incident end 21. The light guide member
20 is an optical fiber cable connecting the incident end 21 and the emission end 22.
The emission end 22 of the light guide member 20 is configured by a light diffusing
member (light diffuser). There is a plurality of types of light guide members 20 depending
on the type (structure) of the light diffusing member constituting the emission end
22. As shown in FIG. 3(A), one type of the light guide member 20 is a forward emission
type that emits light in a cone-beam (or polygonal pyramid) shape by diffusing light
at a predetermined irradiation angle 26 toward a forward direction perpendicular to
the end face of the emission end 22. The forward emission type light guide member
20 is mainly used in applications in which the therapeutic light 80 is emitted from
the outside of the body of the cancer patient 101 toward the body surface.
[0032] As shown in FIG. 3(B), the other type of the light guide member 20 is a circumferential
emission type in which light is emitted in a ring (or cylindrical) shape by diffusing
light from the outer circumference of a cylindrical light diffusion member toward
a radial direction perpendicular to the outer circumference. The circumferential emission
type light guide member 20 is mainly used in applications in which the emission end
22 is inserted into the body of the cancer patient 101 to irradiate the treatment
target site 101a with the therapeutic light 80 from the inside of the body. FIG. 1
shows an example of a circumferential emission type light guide member 20 with the
emission end 22 inserted into the body of the cancer patient 101.
[0033] As shown in FIG. 1, the controller 30 is a computer configured to control the light
source 10. The controller 30 is configured to perform therapeutic light irradiation
processing to control the light source 10 to cause the therapeutic light 80 to be
emitted from the emission end 22 of the light guide member 20 at the time of treatment
in photoimmunotherapy. The controller 30 can individually control the start of irradiation
of the therapeutic light 80 and the stop of irradiation of the therapeutic light 80
(switching the irradiation ON/OFF of the therapeutic light 80) for each of the plurality
of light output ports 12 by controlling the plurality of light source units 11, individually.
[0034] Further, in this embodiment, the controller 30 is configured to perform control (light
guide member identification processing) to light up the plurality of light guide members
20 connected to the plurality of light output ports 12, respectively, in an identifiable
manner by emitting the identification light 90 (see FIG. 2) from each of the plurality
of light output ports 12. The controller 30 can individually control the start of
emitting the identification light 90 and the stop of emitting the identification light
90 (switching emission ON/OFF of the identification light 90) for each of the plurality
of light output ports 12 by individually controlling the plurality of light source
units 11.
[0035] Further, the controller 30 is configured to perform calibration processing for adjusting
the emission intensity of the therapeutic light 80 at each of the plurality of light
output ports 12, based on the detection result of the light detection unit 40.
[0036] The light detection unit 40 is configured to accept the emission end 22 of any one
of the plurality of light guide members 20 to detect the light (therapeutic light
80) output from the emission end 22. The light detection unit 40 outputs a signal
corresponding to the detected light intensity to the controller 30. The light detection
unit 40 includes a light input port 41 to which the emission end 22 is connected (inserted).
[0037] Further, the controller 30 is configured to control the screen display of the display
unit 51 and perform control according to an operation input to the first operation
unit 52 and the second operation unit 53.
[0038] The display unit 51 displays a screen for inputting setting information 32b (see
FIG. 6) of the light irradiation device 100, a screen for operating the light irradiation
device 100, and other screens under the control of the controller 30. The display
unit 51 is configured by a display device, such as a liquid crystal display and an
organic EL display.
[0039] The first operation unit 52 receives an operation input to an input screen (GUI)
displayed on the display unit 51. The first operation unit 52 is, for example, a touch
panel provided on the display unit 51. In other words, the display unit 51 and the
first operation unit 52 constitute a touch panel display. The first operation unit
52 outputs a signal corresponding to the received operation input to the controller
30.
[0040] The second operation unit 53 is connected to the controller 30 and is configured
to receive an operation input of irradiation start and irradiation stop of the therapeutic
light 80. The second operation unit 53 is configured by an input device, such as a
foot switch and a hand switch.
(Configuration of Light Source Unit and Light Detection Unit)
[0041] FIG. 4 shows one configuration of one of the plurality of light source units 11 provided
by the light source 10. Since the configurations of the plurality of light source
units 11 are identical, one light source unit 11 will be described here.
[0042] The light source unit 11 has a light output port 12, a first light source 13a, a
second light source 13b, an optical element 14, an optical element 15, a light-receiving
unit 16, and a drive circuit unit 17.
[0043] The first light source 13a and the second light source 13b are each configured by
a laser light source. The first light source 13a and the second light source 13b are
each configured, for example, by a semiconductor laser device. The first light source
13a outputs the therapeutic light 80 of a first wavelength. The second light source
13b outputs the identification light 90 of a second wavelength different from the
first wavelength. The first light source 13a and the second light source 13b output
the therapeutic light 80 and the identification light 90, respectively, toward the
optical element 14.
[0044] The optical element 14 is configured to guide the light incident from the first light
source 13a and the light incident from the second light source 13b to the optical
element 15. In the example in FIG. 4, the optical element 14 is configured to transmit
the therapeutic light 80 from the first light source 13a to be emitted to the optical
element 15 and reflect the identification light 90 from the second light source 13b
to be emitted to the optical element 15. The optical element 14 is configured by a
mirror element, such as a dichroic mirror and a half mirror.
[0045] The optical element 15 is configured to split the light incident from the optical
element 14 to be output to the light output port 12 and the light-receiving unit 16,
respectively. In the example in FIG. 4, the optical element 15 is a beam splitter
that transmits a part of the light incident from the optical element 14 to be emitted
to the light output port 12 and reflects the other part of the light incident from
the optical element 14 to be emitted to the light-receiving unit 16. The optical element
15 is configured by a mirror member, such as, e.g., a half-mirror.
[0046] The light-receiving unit 16 is configured to receive the light incident from the
optical element 15 and output a signal corresponding to the received light intensity
to the drive circuit unit 17. The light-receiving unit 16 is configured by a light
sensor, such as, e.g., a photodiode. The light output port 12 is configured to output
the light incident from the optical element 15 to the incident end 21 of the light
guide member 20.
[0047] The drive circuit unit 17 controls the ON/OFF of the first light source 13a and the
second light source 13b according to the control signal from the controller 30. The
drive circuit unit 17 controls the light intensity output from each of the first light
source 13a and the second light source 13b according to the control signal from the
controller 30. The drive circuit unit 17 can control the first light source 13a and
the second light source 13b independently and can also turn on the first light source
13a and the second light source 13b simultaneously. The drive circuit unit 17 drives
the first light source 13a according to the set value from the controller 30 to output
the therapeutic light 80 with the intensity corresponding to the set value. The drive
circuit unit 17 controls the output intensity of the therapeutic light 80 to maintain
the output intensity constant, based on the output signal of the light-receiving unit
16. With this, the output intensity of the therapeutic light 80 is prevented from
fluctuating over time during the treatment in photoimmunotherapy. Note that for the
identification light 90, there is no need to control the intensity based on the output
signal of the light-receiving unit 16 since precise control of the light intensity
is not required.
[0048] FIG. 4 also shows the configuration of the light detection unit 40. The light detection
unit 40 includes the light input port 41 and a light-receiving unit 42. The light
input port 41 is a recess capable of connecting the emission end 22 of the light guide
member 20. The light-receiving unit 42 receives the therapeutic light 80 output from
the emission end 22 connected to the light input port 41 and outputs a signal corresponding
to the received light intensity to the controller 30. The light-receiving unit 42
includes an optical sensor, such as, e.g., a photodiode. Based on the detection signal
of the light-receiving unit 42, the controller 30 acquires the intensity of the therapeutic
light 80 finally output from the emission end 22 of the light guide member 20, including
the light loss, etc., occurred from the first light source 13a to the emission end
22 of the light guide member 20. Based on the acquired intensity of the therapeutic
light 80, calibration processing is performed by the controller 30.
(Therapeutic Light and Identification Light)
[0049] Next, the details of the therapeutic light 80 and the identification light 90 will
be described. In this embodiment, the light source 10 is configured to emit the therapeutic
light 80 of the first wavelength and the identification light 90 of the second wavelength
different from the first wavelength, from each of the plurality of light output ports
12.
[0050] The therapeutic light 80 is light in the wavelength range in which the fluorescent
material of the medicine 102 used in the treatment causes a photochemical reaction
in the wavelength region of 600 nm or more and 2,500 nm or less, which is a part of
the visible light region to the near-infrared light region. The therapeutic light
80 differs according to the type of fluorescent material of the medicine 102 used
in the treatment. As described above, in the case where IR700 is used as the fluorescent
material for the medicine 102, the therapeutic light 80 is light with a wavelength
peak position of 600 nm or more and 700 nm or less, for example, non-thermal red light
(near-infrared light) with a wavelength peak position of about 690 nm.
[0051] In this case, the first light source 13a outputs the therapeutic light 80 with a
peak wavelength of approximately 690 nm, as the first wavelength. The first light
source 13a is capable of outputting, as the therapeutic light 80, laser light of the
intensity (energy density) necessary to generate a photochemical reaction in the fluorescent
material. Specifically, the first light source 13a outputs the therapeutic light 80
with an intensity equivalent to Class 3 or Class 4 as defined in the International
Electrotechnical Standard. Laser light of Class 3 or Class 4 is not permitted to be
directly visually observed, so the operators involved in treatment must wear light-shielding
glasses 60 (see FIG. 5) for blocking light of a first wavelength so that the therapeutic
light 80 is not emitted to the eyes.
[0052] The second light source 13b outputs the identification light 90 lower in intensity
than the therapeutic light 80. The second light source 13b is controlled to output
laser light with intensity deemed to be safe for direct visual observation without
wearing light-shielding glasses 60. Specifically, the second light source 13b outputs
the identification light 90 with intensity corresponding to, for example, Class 1
as defined in the International Electrotechnical Standard. For this reason, in this
embodiment, the identification light 90 emitted from the light guide member 20 can
be directly visually observed without wearing light-shielding glasses 60.
[0053] Further, in this embodiment, the second wavelength of the identification light 90
is a wavelength outside a first bandwidth of the light-shielding glasses 60 for blocking
the light in the first bandwidth including the first wavelength of the therapeutic
light 80, and is a wavelength in the range of visible light. In other words, in this
embodiment, the identification light 90 is visible light with a wavelength (wavelength
whose light transmittance is sufficiently higher than the first bandwidth) that is
not blocked by the light-shielding glasses 60. The first bandwidth to which the first
wavelength belongs is a wavelength bandwidth in which the red visible light region
is partially included. Therefore, the second light source 13b is configured to output
light of green (about 490 nm or more and about 550 nm or less), for example, other
than red.
[0054] As shown in FIG. 5, the lens part 61 of the light-shielding glasses 60 is configured
to block the light of the first bandwidth including the first wavelength (approximately
690 nm) of the therapeutic light 80 (i.e., the light transmission of the first wavelength
is very small). On the other hand, as the lens part 61 of the light-shielding glasses
60, a lens in which light transmittance of the second wavelength (about 490 nm or
more and about 550 nm or less) is sufficiently high is used.
[0055] For this reason, when the therapeutic light 80 of the first wavelength (red) is incident
on the lens part 61 of the light-shielding glasses 60, it is blocked by the lens part
61. Therefore, it is difficult for the operator wearing the light-shielding glasses
60 to visually recognize the therapeutic light 80. In contrast, when the identification
light 90 of the second wavelength (green) is incident on the lens part 61 of the light-shielding
glasses 60, the majority of the identification light 90 passes through the lens part
61. Therefore, even a operator wearing the light-shielding glasses 60 can easily visually
recognize the identification light 90 through the lens part 61. With this, the identification
light 90 in this embodiment can be easily visually recognized even in a state in which
the light-shielding glasses 60 are wearing and can be safely visually recognized even
in a state in which the light-shielding glasses 60 are removed.
(Controller)
[0056] Next, the controller 30 will be described. As shown in FIG. 6, the controller 30
is configured by a computer including a processor 31 and a storage unit 32.
[0057] The processor 31 is configured, for example, by a CPU (Central Processing Unit),
an FPGA (Field-Programmable Gate Array), or the like. The storage unit 32 includes,
for example, a volatile memory and a nonvolatile memory, such as, e.g., a flash memory
and a hard disk drive. The storage unit 32 stores the program 32a. The computer functions
as the controller 30 of the light irradiation device 100 by the processor 31 executing
the program 32a stored in the storage unit 32. Further, various setting information
32b for light irradiation is stored in the storage unit 32.
[0058] The controller 30 includes, as functional blocks, a light source control unit 31a,
a calibration processing unit 31b, and a display control unit 31c. The functional
block means a group of functions of information processing realized by the processor
31 provided by the controller 30 executing the program 32a. Each of these functional
blocks may be configured by separate hardware (processor).
(Light Source Control Unit)
[0059] The light source control unit 31a controls the start of light output and the stop
of light output by the light source 10. The light source control unit 31a controls
each light source unit 11 (see FIG. 1) of the light source 10 to output the therapeutic
light 80 of the set intensity from the set light output port 12 during the set time
based on the setting information 32b stored in the storage unit 32.
[0060] When the light source control unit 31a receives an operation input to the second
operation unit 53 while the output of the therapeutic light 80 is being stopped, the
light source control unit 31a starts the output of the therapeutic light 80. The light
source control unit 31a stops the output of the therapeutic light 80 when the set
time has elapsed or when it receives an operation input to the second operation unit
53 before the elapse of the set time during the therapeutic light 80 is being output.
(Calibration Processing Unit)
[0061] The calibration processing unit 31b performs calibration processing based on the
detection result of the light detection unit 40 (see FIG. 4). The calibration processing
unit 31b is configured to determine whether the calibration processing has been successfully
completed based on the comparison between the detection result of the light detection
unit 40 and the set value of the intensity of the therapeutic light 80.
[0062] The calibration processing is performed for each of the plurality of light output
ports 12 (i.e., the plurality of light source units 11) sequentially. First, as shown
in FIG. 4, the emission end 22 of the light guide member 20 connected to one light
output port 12, which is the target of the calibration processing, is connected by
the operator to the light input port 41 of the light detection unit 40. The calibration
processing unit 31b causes the therapeutic light 80 to be output from one light output
port 12 subject to calibration processing. The therapeutic light 80 that has passed
through the light guide member 20 and has been output from the emission end 22 is
detected by the light-receiving unit 42 of the light detection unit 40. The calibration
processing unit 31b acquires a signal corresponding to the light-receiving intensity
from the light detection unit 40.
[0063] The calibration processing unit 31b acquires the detected value of the intensity
of the therapeutic light 80 at the emission end 22 of the light guide member 20 connected
to the light input port 41, based on the detection result (signal corresponding to
the received light intensity) of the light detection unit 40. The calibration processing
unit 31b compares the detection unit and the intensity set value to determine whether
the detection value is within an acceptable range for the intensity set value. The
calibration processing unit 31b adjusts the setting of the drive level of the first
light source 13a by the drive circuit unit 17 of the light source unit 11 so that
the detection value falls within the acceptable range when the detection value is
not within the acceptable range. As a result, the intensity of the therapeutic light
80 output from the light guide member 20 connected to the one light output port 12
subject to the calibration processing is adjusted to match the intensity setting value
of the setting information 32b within an acceptable range.
[0064] The calibration processing unit 31b determines that the calibration is normally performed
when the detection unit falls within the allowable range. As described above, the
controller 30 (calibration processing unit 31b) determines whether the calibration
processing has been successfully completed based on a comparison between the detection
result of the light detection unit 40 and the set value of the emission intensity
of the therapeutic light 80. In this embodiment, the controller 30 (calibration processing
unit 31b) is configured to control the light source 10 to emit the identification
light 90 (see FIG. 2) when the calibration processing has been successfully completed.
[0065] When the calibration processing for one light output port 12 is completed, the light
guide member 20 connected to the light input port 41 of the light detection unit 40
is removed by the operator, and the light guide member 20 connected to the light output
port 12 to be calibrated next is connected to the light input port 41. The controller
30 (calibration processing unit 31b) performs calibration processing for each of the
plurality of light output ports 12 sequentially.
(Display Control Unit)
[0066] The display control unit 31c controls the screen display of the display unit 51.
The display control unit 31c causes the operation reception screen 70 to be displayed
on the display unit 51, as shown in FIG. 7. The display control unit 31c is configured
to receive various operations and setting inputs via the first operation unit 52 (see
FIG. 1) on the operation reception screen 70.
(Operation Reception Screen)
[0067] In the example shown in FIG. 7, the operation reception screen 70 includes a setting
information display region 71, a treatment procedure display region 72, a first identification
operation unit 73a, and a second identification operation unit 73b.
(Setting Information Display Region)
[0068] The setting information display region 71 is a region for displaying setting information
(setting information 32b) concerning the emission of the therapeutic light 80 by the
light source 10. The setting information display region 71 is provided one for each
of the plurality of light output ports 12 ("PORT 1" to "PORT 4") of the light source
10. In other words, there is a plurality (four) of setting information display regions
71 corresponding to the plurality (four) light output ports 12, respectively, one-to-one.
[0069] Each setting information display region 71 includes a type display unit 71a for the
light guide member 20, an optical specification display unit 71b for the light guide
member 20, an irradiation energy display unit 71c, and an irradiation time display
unit 71d. The display control unit 31c performs information display of the setting
information display region 71 according to the setting information 32b stored in the
storage unit 32. The setting information 32b is set by the operator according to the
treatment condition by photoimmunotherapy.
[0070] The type display unit 71a displays the type of the light guide member 20 according
to the type (structure) of the light diffusion member constituting the emission end
22. The type display unit 71a displays the type of the light guide member 20 in the
form of a pictogram (icon). The pictogram of the various type display units 71a in
FIG. 7 indicates that light (represented by arc-shaped lines) is emitted from a rod-shaped
light diffusing member to the surrounding area and indicates that a circumferential
emission type light guide member 20 (see FIG. 3(B)) is set. In the case where a forward
emission type light guide member 20 (see FIG. 3(A)) is set in the setting information
32b, a pictogram (not shown) indicating that the light guide member is a forward emission
type is displayed.
[0071] The optical specification display unit 71b displays the optical specification for
the irradiation of the therapeutic light 80 in the light guide member 20 displayed
on the type display unit 71a. The optical specification display unit 71b displays
pre-specified information (parameters) considered to be important when emitting the
therapeutic light 80 to the treatment target site 101a, among other optical specifications.
The example in FIG. 7 shows information on the range of the therapeutic light 80 emitted
at the emission end 22 (light diffusion member) of the circumferential emission type
light guide member 20. The range where the therapeutic light 80 is emitted is represented
by the distance 25 (see FIG. 3((B)) from the tip of the rod-shaped light-diffusing
member. In FIG. 7, it is displayed as "2 cm," indicating that the therapeutic light
80 is emitted from a portion of 2 cm from the tip of the light-diffusing member. In
the case where a forward emission type light guide member 20 (see FIG. 3(A)) is displayed
on the type display unit 71a, information on the irradiation angle 26 or the like
can be displayed.
[0072] The irradiation energy display unit 71c displays the set value of the total energy
of the therapeutic light 80 emitted from the light guide member 20 to the treatment
target site 101a during treatment. Further, the irradiation time display unit 71d
displays the set value of the irradiation time of the therapeutic light 80 emitted
from the light guide member 20 to the treatment target site 101a during treatment.
The total energy amount is expressed by the energy amount per unit time (J/cm), and
the irradiation time is expressed by the total value (sec) of the time during which
the therapeutic light 80 is emitted.
[0073] By the optical specification display unit 71b, the irradiation energy display unit
71c, and the irradiation time display unit 71d, the example in FIG. 7 shows that the
condition is set that when the therapeutic light 80 is irradiated from a range of
2 cm from the tip of the light guide member 20 for 250 seconds, a total of 100 J/cm
of the therapeutic light 80 will be irradiated to the treatment target site 101a.
The controller 30 sets the light intensity of the therapeutic light 80 emitted from
the light output port 12 to satisfy this condition.
(Treatment Procedure Display Region)
[0074] The treatment procedure display region 72 displays the treatment procedure (protocol)
using the light irradiation device 100. The operator can prepare the treatment and
perform the treatment procedure by referring to the contents of the display in the
treatment procedure display region 72. In the example in FIG. 7, as Step 1, the preparation
(Standby), such as, e.g., a connection operation of the light guide member 20 and
an input of setting information 32b, is displayed. As Step 2, the calibration processing
(Calibrate) of each light output port 12 is shown. As Step 3, the output (Treatment)
of the therapeutic light 80 is shown. The output of the therapeutic light 80 may be
performed in a plurality of separated manners. Further, in the case where treatment
is performed by replacing the light guide member 20 (by replacing the circumferential
emission type with the forward emission type), the calibration processing and the
output of the therapeutic light 80 may be sometimes performed in a plurality of separated
manner.
(First Identification Operation Unit and Second Identification Operation Unit)
[0075] The first identification operation unit 73a and the second identification operation
unit 73b are buttons each for receiving an operation input to emit the identification
light 90 (see FIG. 2) from the light output port 12. The first identification operation
unit 73a and the second identification operation unit 73b each are a GUI (Graphical
User Interface) displayed on the operation reception screen 70.
[0076] In the example of FIG. 7, four first identification operation units 73a are provided
on the operation reception screen 70 according to the four light output ports 12.
In other words, the first identification operation unit 73a is a "Check" button provided
for each of the four setting information display regions 71 (PORT 1 to PORT 4) corresponding
to the light output ports 12, respectively.
[0077] In this embodiment, the first operation unit 52, which is a touch panel, detects
the input operation (touch operation) to the first identification operation unit 73a
and outputs a signal corresponding to the operation input to the controller 30. The
controller 30 (light source control unit 31a) controls the light source 10 to emit
the identification light 90 from the light output port 12 corresponding to the first
identification operation unit 73a that received the operation input out of the plurality
of first identification operation units 73a.
[0078] As described above, in this embodiment, the light irradiation device 100 is provided
with a plurality of first identification operation units 73a, which are provided corresponding
to the plurality of light output ports 12 to receive an operation input to instruct
the emission of the identification light 90 for each of the light output ports 12.
Therefore, by selectively operating the plurality of first identification operation
units 73a, the operator can cause the identification light 90 to be output from one
light guide member 20 connected to the designated light output port 12 out of the
four light output ports 12.
[0079] On the other hand, the second identification operation unit 73b is a button for outputting
the identification light 90 from the plurality of light output ports 12 at the same
time.
[0080] In the example of FIG. 7, one second identification operation unit 73b is provided
on the operation reception screen 70 for the four light output ports 12. The second
identification operation unit 73b is a large "All Check" button provided across the
four setting information display regions 71 each provided for one port. As described
above, in this embodiment, the light irradiation device 100 is equipped with the second
identification operation unit 73b, which is provided one for the plurality of light
output ports 12 and receives an operation input that instructs the emission of the
identification light 90 from the plurality of light output ports 12.
[0081] In this embodiment, the first operation unit 52, which is a touch panel, detects
the input operation (touch operation) to the second identification operation unit
73b and outputs a signal corresponding to the operation input to the controller 30.
[0082] Here, in this embodiment, the light source 10 is configured to simultaneously emit
the identification light 90 different from each other in the pattern of lighting-on
and lighting-off in unit time from each of the plurality of light output ports 12.
The controller 30 controls the light source 10 to emit the identification light 90
different in pattern from each other from each of the plurality of light output ports
12 in response to the operation input to the second identification operation unit
73b. Note that "Lighting-on" and "Lighting-off" mean the irradiation of the identification
light 90 and the irradiation stop of the identification light 90, respectively.
[0083] One example of the patterns of lighting-on and lighting-off in unit time is shown
in FIG. 8. FIG. 8 shows a timing chart in which the horizontal axis represents time
and the switching timings of lighting-on (ON) and lighting-off (OFF) at the four light
output ports 12 (PORT 1 to PORT 4) are shown side by side.
[0084] PORT 1 blinks, during the unit time 110, in a pattern in which lighting-on in the
lighting-on time 111 is performed once, and lighting-off is performed during the time
other than the lighting-on time 111. PORT 2 blinks, during the unit time 110, in a
pattern in which lighting-on in the lighting-on time 111 is performed twice in the
lighting-on intervals 112, and lighting-off is performed during the time other than
the lighting-on time 111. PORT 3 blinks, during the unit time 110, in a pattern in
which lighting-on in the lighting-on time 111 is performed three times in the lighting-on
intervals 112, and lighting-off is performed during the time other than the lighting-on
time 111. PORT 4 blinks, during the unit time 110, in a pattern in which lighting-on
in the lighting-on time 111 is performed four times in the lighting-on intervals 112,
and lighting-off is performed during the time other than the lighting-on time 111.
Note that the lighting-on time 111 is a length of time during which the lighting-on
state continues. The lighting-on interval 112 is a length of time during which the
lighting-off state continues between a lighting-on state and the subsequent lighting-on
state. Here, all of PORTs blink (light on and off), but for any PORT, the pattern
may be a continuous lighting-on state instead of a blinking pattern.
[0085] As described above, in the case where the identification light 90 is turned on via
the four light guide members 20 in response to the operation input to the second identification
operation unit 73b, the number of times of lighting-on of the identification light
90 in the unit time 110 differs for each of the light output ports 12. As a result,
the operator can determine which light guide member 20 is connected to which light
output port 12 by the frequency of the blinks of the emission end 22 of the light
guide member 20. In the example in FIG. 8, the identification light 90 is turned on
by the same number of times as the port numbers of PORT 1 to PORT 4 during the unit
time 110. Therefore, it is easy to determine the port number to which the light guide
member 20 is connected by the number of lighting times of the emission end 22.
[0086] Note that while the identification light 90 is emitted from each of the four light
guide members 20 in response to the operation input to the second identification operation
unit 73b, the display control unit 31c may control the display unit 51 such that each
of the four setting information display regions 71 corresponding to the respective
light output ports 12 blinks in the same pattern as the pattern of lighting-on/lighting-off
of the identification light 90. In other words, each of the setting information display
regions 71 of PORT 1 to PORT 4 shown in FIG. 7 may be blinked in the pattern of PORT
1 to PORT 4 shown in FIG. 8.
[0087] In this embodiment, the controller 30 (light source control unit 31a) controls the
light source 10 to output the identification light 90 only while the first identification
operation unit 73a or the second identification operation unit 73b is being operated.
Therefore, when the operator touches the first identification operation unit 73a or
the second identification operation unit 73b, the output of the identification light
90 is initiated, and when the operator removes the finger from the touch panel to
release the touch, the output of the identification light 90 is terminated.
(Control Processing of Light Irradiation Device)
[0088] Next, the control processing of the light irradiation device 100 will be described
with reference to FIG. 9. The control processing of the light irradiation device 100
includes a control method for the light irradiation device according to this embodiment.
The control processing of the light irradiation device 100 is performed by the controller
30.
[0089] In Step 501 of FIG. 9, the controller 30 (display control unit 31c) performs the
control to display the operation reception screen 70 on the display unit 51.
[0090] In Step 502, the controller 30 (display control unit 31c) selects one light output
port 12 to be subjected to calibration processing. The selection order of the light
output ports 12 may be, for example, in order of decreasing the port number, or it
may be specified by the operator.
[0091] The operator connects the emission end 22 of one light guide member 20 connected
to the selected light output port 12 to the light input port 41. The operator operates
the first identification operation unit 73a or the second identification operation
unit 73b on the operation reception screen 70 (see FIG. 7) to cause the identification
light 90 to be emitted from the light guide member 20. For example, in the case where
the light output port 12 to be subject to calibration processing is PORT 1, the operator
operates the first identification operation unit 73a of PORT 1. With this, the identification
light 90 (see FIG. 2) is emitted from the light guide member 20 connected to PORT
1, and therefore, the operator can easily distinguish the light guide member 20 connected
to PORT 1 from the other light guide members 20. The control regarding the emission
of the identification light 90 will be described later.
[0092] In Step 503, the controller 30 (calibration processing unit 31b) performs calibration
processing for the light output port 12 to be subjected to calibration processing.
The calibration processing unit 31B causes the therapeutic light 80 to be emitted
from the target light output port 12, as described above, to acquire the detection
result from the light detection unit 40. The calibration processing unit 31b adjusts
such that the detection result of the light detection unit 40 (the emission intensity
of the therapeutic light 80 from the emission end 22) matches the intensity set value
within an acceptable range, based on the comparison between the detection result of
the light detection unit 40 and the set value of the emission intensity of the therapeutic
light 80.
[0093] In Step 504, the controller 30 (calibration processing unit 31b) determines whether
the calibration processing has been successfully completed, based on the comparison
between the detection result of the light detection unit 40 and the intensity set
value of the therapeutic light 80. Even in the case where the detection result of
the light detection unit 40 does not match the intensity set value within an acceptable
range even after the calibration processing is performed, the controller 30 (calibration
processing unit 31b) discontinues the subsequent processing and performs predetermined
error processing. In the case where the detection result of the light detection unit
40 matches the intensity set value within an acceptable range, the controller 30 (calibration
processing unit 31b) determines that the calibration processing has been successfully
completed and advances the processing to Step 505.
[0094] In Step 505, the controller 30 (calibration processing unit 31b) stops the output
of the therapeutic light 80 from the light output port 12 for which the calibration
processing has been completed and controls the light source 10 to emit the identification
light 90. In other words, when the calibration processing for any of the light output
ports 12 has been completed, the controller 30 (calibration processing unit 31b) informs
the operator of the completion of the calibration processing by emitting the identification
light 90 from the light output port 12. The emission of the identification light 90
is stopped after elapsing a predetermined period of time.
[0095] In Step 506, the controller 30 (calibration processing unit 31b) determines whether
the calibration processing has been completed for all of the light output ports 12
to be subjected to calibration processing. Further, in the case where there are light
output ports 12 for which calibration processing has not yet been performed, the controller
30 (calibration processing unit 3 1b) returns the processing to Step 502 and selects
the light output ports 12 for which calibration processing has not yet been performed
as a calibration processing target. By repeating Steps 502 to 506, the calibration
processing is sequentially performed on the plurality of light output ports 12 one
by one. When calibration processing has been completed for all of the light output
ports 12, the controller 30 advances the processing to Step 507.
[0096] In Step 507, the controller 30 (light source control unit 31a) determines whether
an operation input instructing the output of the therapeutic light 80 is received.
The controller 30 (light source control unit 31a) receives an operation input to instruct
the output of the therapeutic light 80 by the second operation unit 53 (see FIG. 1).
[0097] Before performing an operation input, the operator positions the plurality of light
guide members 20 connected to the plurality of light output ports 12, respectively,
at predetermined positions for irradiating the treatment target site 101a of the patient
101 with the therapeutic light 80. In the case of the circumferential emission type
light guide member 20, as described above, the emission end 22 of the light guide
member 20 is inserted to a predetermined position in the body of the patient 101.
After completion of the irradiation preparation, the operator performs an operation
input to the second operation unit 53. When an operation input instructing the output
of the therapeutic light 80 is received (operation to the second operation unit 53
is received), the controller 30 (light source control unit 31a) advances the processing
to Step 508. In the case where no operation input has been received, the controller
30 (light source control unit 31a) advances the processing to Step 509.
[0098] In Step 508, the controller 30 (light source control unit 31a) controls the light
source 10 to output the therapeutic light 80 from each of the plurality of light output
ports 12. With this, the therapeutic light 80 is emitted from the emission end 22
of the light guide member 20 connected to the light output port 12 to the treatment
target site 101a. The controller 30 (light source control unit 31a) outputs the therapeutic
light 80 during the set irradiation time (see FIG. 7) based on the setting information
32b.
[0099] In Step 509, the controller 30 (light source control unit 31a) determines whether
to terminate the treatment. The condition for terminating one treatment (irradiation
of the therapeutic light 80) is, for example, that the total irradiation time of the
therapeutic light 80 has reached a set irradiation time. Further, the controller 30
(light source control unit 31a) determines to terminate the treatment when, for example,
it receives an input operation input indicating the termination of the treatment in
the GUI displayed on the display unit 51. In that case, the control processing of
the light irradiation device 100 is completed.
[0100] In the case where the conditions for terminating the treatment have not been met,
the controller 30 determines in Step 510 whether the setting information 32b has been
changed.
[0101] The operator operates the first operation unit 52 to display the setting screen on
the display unit 51 from the operation reception screen 70, which is not shown in
the figure, and operates to change the setting information 32b for each light output
port 12 on the setting screen. With this, it is possible to change the type of the
light guide member 20 and the setting information 32b, such as the irradiation time
and the total energy, for each light output port 12. In this case, there may be a
case in which the operator needs to check which of the plurality of light guide members
20 out of the plurality of light guide members 20 is connected to the light output
port 12 that he/she intends to change the setting.
[0102] At this time, the operator can cause the identification light 90 to be emitted from
the light guide member 20 by operating the first identification operation unit 73a
or the second identification operation unit 73b. With this, the identification light
90 is emitted from the light guide member 20 connected to the light output port 12
for which the setting is to be changed, and therefore, it is possible to easily distinguish
the light guide member 20 connected to the light output port 12 for which the operator
intends to change the setting, from other light guide members 20.
[0103] In the case where no change in the setting information 32b is received, the controller
30 returns the processing to Step S507. In the case where the change of the setting
information 32b is received, the controller 30 stores the changed setting information
32b in the storage unit 32 in Step 511, and then returns the processing to Step S507.
With this, for example, the irradiation conditions of the therapeutic light 80 are
changed, and a second irradiation of the therapeutic light 80 is performed. Note that
depending on the contents of the changed setting information 32b, the processing may
be returned to Step 502 for calibration processing.
[0104] When all of the scheduled treatments have been completed, the controller 30 determines
that the treatment has been completed in Step 509, and terminates the control processing
of the light irradiation device 100.
(Output Control of Identification Light)
[0105] Referring to FIG. 10, the output control of the identification light 90 will be described.
The output control of the identification light 90 is performed by the controller 30.
The output control of the identification light 90 is processing that is executed in
parallel with the execution of the control processing of the light irradiation device
100 shown in FIG. 9.
[0106] In Step 521, the controller 30 (light source control unit 31a) determines whether
an input operation to any of the first identification operation units 73a has been
received via the first operation unit 52.
[0107] When an input operation to any of the first identification operation units 73a is
received, the controller 30 (light source control unit 31a) controls the light source
10 to output the identification light 90 from the light output port 12 corresponding
to the first identification operation unit 73a for which the input operation was received,
in Step 522. For example, when an operation input is received for the first identification
operation unit 73a corresponding to the setting information display region 71 of PORT
1 shown in FIG. 7, the controller 30 causes the identification light 90 to be output
from the light output port 12 of PORT 1. Note that in the case where operation inputs
are made simultaneously to the plurality of first identification operation units 73a,
the controller 30 (light source control unit 31a) causes the identification light
90 to be output simultaneously from the corresponding light output ports 12.
[0108] In the case where no input operation to the first identification operation unit 73a
has been received in Step 521, the controller 30 (light source control unit 31a) advances
the processing to Step 523. In Step 523, the controller 30 (light source control unit
31a) determines whether an input operation to the second identification operation
unit 73b has been received via the first operation unit 52.
[0109] In the case where an input operation to the second identification operation unit
73b has been received, the controller 30 (light source control unit 31a) controls
the light source 10 to output the identification light 90 with different lighting-on
and lighting-off patterns from all the light output ports 12 in Step 524. For example,
the controller 30 (light source control unit 31a) causes each of the light output
ports 12 of PORT 1 to PORT 4 to output the identification light 90 in the pattern
shown in FIG. 8. In Step 523, in the case where no input operation input to the second
identification operation unit 73b has been received, the processing is terminated.
[0110] In the case where the identification light 90 is output in Step 522 or Step 524,
the controller 30 (light source control unit 31a) determines in Step 525 whether the
operation input to the first identification operation unit 73a or the second identification
operation unit 73b is released. In the case of this embodiment in which the first
operation unit 52 is a touch panel, it is determined whether the touch operation is
released. In the case where the operation input is not released, the controller 30
(light source control unit 31a) continuously outputs the identification light 90.
[0111] When the operation input is released, the controller 30 (light source control unit
31a) stops outputting the identification light 90 in Step 526. Therefore, in this
embodiment, the identification light 90 is output only while the operation input to
the first identification operation unit 73a or the second identification operation
unit 73b continues.
[0112] When the output of the identification light 90 is stopped in Step 526, the controller
30 (light source control unit 31a) terminates the processing. The controller 30 (light
source control unit 31a) always receives an operation input to the first identification
operation unit 73a or the second identification operation unit 73b by repeating the
processing of Steps 521 to 526 shown in FIG. 10. This allows the operator to output
the identification light 90 only at the desired timing for the desired amount of time.
By this processing, the identification light 90 will be output at the timing when
the operator operates the first identification operation unit 73a or the second identification
operation unit 73b in Step 502 or Step 510 of FIG. 9. Even at timings other than Step
502 or Step 510, the controller 30 (light source control unit 31a) performs the control
to output the identification light 90 in parallel with each processing in FIG. 9,
when the first identification operation unit 73a or the second identification operation
unit 73b is operated.
[0113] As described above, the control method for the light irradiation device 100 is a
control method for a light irradiation device 100 for irradiating a treatment target
site 101a of a subject (cancer patient 101) to which a medicine 102 containing a photosensitive
substance has been administered, with therapeutic light 80. The control method includes:
a step (522, 524) of causing the plurality of light guide members 20 connected to
the plurality of light output ports 12, respectively, to light up in an identifiable
manner by emitting the identification light 90 lower in intensity than the therapeutic
light 80 from each of the plurality of light output ports 12 to which the plurality
of light guide members 20 is connected, respectively; and a step (508) of emitting
the therapeutic light 80 from each of the plurality of light output ports 12.
(Effects of This Embodiment)
[0114] In this embodiment, the following effects can be obtained.
[0115] That is, as described above, the light irradiation device 100 of this embodiment
is a light irradiation device 100 for irradiating a treatment target site 101a of
a subject (cancer patient 101) to which a medicine 102 containing a photosensitive
substance has been administered with therapeutic light 80. The light irradiation device
is provided with a light source 10 including a plurality of light output ports 12
and configured to emit the therapeutic light 80 and the identification light 90 lower
in intensity than the therapeutic light 80, from each of the plurality of light output
ports 12, a plurality of light guide members 20 having an incident end 21 to be connected
to any one of the plurality of light output ports 12 of the light source 10 and an
emission end 22 for emitting the light incident from the incident end 21, and a controller
30 for controlling the light source 10. The controller 30 is configured to perform
control to cause a plurality of light guide members 20 connected to the plurality
of light output ports 12 to be light up in an identifiable manner by emitting an identification
light 90 from each of the plurality of light output ports 12.
[0116] Further, as described above, the control method for the light irradiation device
100 is a control method for a light irradiation device 100 for irradiating a treatment
target site 101a of a subject (cancer patient 101) to which a medicine 102 containing
a photosensitive substance has been administered, with therapeutic light 80. The control
method includes: a step of causing the plurality of light guide members 20 connected
to the plurality of light output ports 12, respectively, to be light up in an identifiable
manner by emitting the identification light 90 lower in intensity than the therapeutic
light 80 from each of the plurality of light output ports 12 to which the plurality
of light guide members 20 are connected; and a step of emitting the therapeutic light
80 from each of the plurality of light output ports 12.
[0117] With the above-described configuration, by emitting the identification light 90 lower
in intensity than the therapeutic light 80 from each of the plurality of light output
ports 12, a control to perform lighting-on of the plurality of light guide members
20 connected to the plurality of light output ports 12, respectively, in an identifiable
manner is performed. For example, the identification light 90 is caused to be emitted
separately from the plurality of light output ports 12 one by one, or the identification
light 90 with different lighting patterns (e.g., blinking speed) is caused to be emitted
from the plurality of light output ports 12 at the same time. With this, it is possible
to confirm whether the identification light 90 from an individual light output port
12 is emitted from which of the plurality of light guide members 20. At this time,
the identification light 90 lower in intensity than the therapeutic light 80 is emitted
from the light guide member, so that the identification light 90 can be confirmed
without the use of light-shielding glasses 60. As a result, even in the case where
a plurality of light guide members 20 remain entangled, it is possible to easily identify
which light guide member 20 is connected to which light output port 12 by the identification
light 90. Further, with this, it becomes possible to shorten the preparation time
required before initiating treatment.
[0118] Further, in the above-described first embodiment, the following further effects can
be obtained by configuring as follows.
[0119] Specifically, in the light irradiation device 100 of this embodiment, the light source
10 is configured to emit the therapeutic light 80 of a first wavelength and the identification
light 90 of a second wavelength different from the first wavelength from each of the
plurality of light output ports 12. By configuring as described above, it is possible
to easily distinguish the identification light 90 from the therapeutic light 80 by
the identification light 90 of a different second wavelength (i.e., a color different
from that of the therapeutic light 80).
[0120] Further, in the light irradiation device 100 of this embodiment, the second wavelength
of the identification light 90 is a wavelength outside the first bandwidth of the
light-shielding glasses 60 that block the first bandwidth of the light and is a wavelength
within the range of visible light. By configuring as described above, it is possible
to visually recognize the identification light 90 through the light-shielding glasses
60 while wearing the light-shielding glasses 60 that block the therapeutic light 80.
For this reason, it is unnecessary to remove the light-shielding glasses 60 each time
the connection of the light guide member 20 is checked by the identification light
90, which can improve the workability related to therapeutic light.
[0121] Further, in this embodiment of the light irradiation device 100, the light source
10 includes the first light source 13a for generating the therapeutic light 80 and
the second light source 13b for generating the identification light 90 and is configured
to emit the therapeutic light 80 and the identification light 90 independently from
the plurality of light output ports 12. By configuring as described above, the first
light source 13a dedicated to the therapeutic light 80 and the second light source
13b dedicated to the identification light 90 are provided, so that the therapeutic
light 80 of the first wavelength and the identification light 90 of the second wavelength
can be emitted without using, for example, a special wavelength-tunable laser light
source. Therefore, the light source 10 that emits the therapeutic light 80 and the
identification light 90 can be easily configured.
[0122] Further, in the light irradiation device 100 of this embodiment, the light source
10 is configured to be able to individually switch the emission and the emission stop
of the identification light 90 from each of the plurality of light output ports 12.
By configuring as described above, it is possible to selectively emit the identification
light 90 from the plurality of light output ports 12 one at a time. Therefore, it
is possible to very easily identify which light guide member 20 is connected to which
light output port 12.
[0123] Further, the light irradiation device 100 of this embodiment is further provided
with a plurality of first identification operation units 73a provided corresponding
to the plurality of light output ports 12 and configured to receive an operation input
instructing the emission of the identification light 90 for each of the light output
ports 12. The controller 30 controls the light source 10 to emit the identification
light 90 from the light output port 12 corresponding to the first identification operation
unit 73a for which the operation input is received out of the plurality of first identification
operation units 73a. By configuring as described above, the operator can individually
identify the light guide member 20 connected to the light output port 12 to be checked
by simply operating the first identification operation unit 73a corresponding to the
light output port 12 to be checked. For this reason, for example, in the calibration
processing, it becomes very easy to identify one light guide member 20 connected to
the light output port 12 to be subjected to the calibration processing from the plurality
of a light guide member 20.
[0124] Further, in the light irradiation device 100 of this embodiment, the light source
10 is configured to simultaneously emit the identification light 90 different in pattern
of lighting-on and lighting-off in unit time 110 from each of the plurality of light
output ports 12. By configuring as described above, it is possible to collectively
identify the interconnection relation between the plurality of light guide members
20 and the plurality of light output ports 12, based on the difference in the patterns
of the identification light 90 emitted from each of the plurality of light guide members
20.
[0125] Further, in the light irradiation device 100 of this embodiment, it is further provided
with a second identification operation unit 73b, one being provided for each of the
plurality of light output ports 12, the second identification operation unit 73b being
configured to receive an operation input indicating the emission of the identification
light 90 from the plurality of light output ports 12. The controller 30 controls the
light source 10 to emit the identification light 90 different in pattern from each
of the plurality of light output ports 12 in response to the operation input to the
second identification operation unit 73b. By configuring as described above, the operator
can collectively identify the interconnection relation between the plurality of light
output ports 12 and the plurality of light guide members 20 by simply operating the
second identification operation unit 73b. For this reason, it becomes very easy to
check the connection in the case where the user wants to know the connection destination
(the number of the light output port 12) for all of the light guide members 20.
[0126] Further, the light irradiation device 100 of this embodiment is further provided
with the light detection unit 40 that accepts the emission end 22 of any one of the
plurality of light guide members 20 to detect the light output from the emission end
22. The controller 30 is configured to perform calibration processing for adjusting
the emission intensity of the therapeutic light 80 at each of the plurality of light
output ports 12, based on the detection result of the light detection unit 40. By
configuring as described above, it becomes necessary to connect the emission end 22
of the light guide member 20 connected to the light output port 12 to be subjected
to calibration processing to the light detection unit 40. However, this makes it extremely
easy to identify the light guide member 20 connected to the light output port 12 to
be subjected to calibration processing by causing the identification light 90 to be
emitted from the light guide member 20. Therefore, it is possible to markedly improve
the work efficiency of the calibration processing for each of the plurality of light
output ports 12, and therefore, the preparation time required before starting the
treatment can be effectively shortened.
[0127] Further, in the light irradiation device 100 of this embodiment, the controller 30
determines whether the calibration processing has been successfully completed based
on the comparison between the detection result of the light detection unit 40 and
the set value of the output intensity of the therapeutic light 80, and when the calibration
processing has been successfully completed, the controller performs the control to
cause the light source 10 to emit the identification light 90. By configuring as described
above, the operator can easily recognize that the calibration processing has been
successfully completed by the identification light 90 emitted from the light guide
member 20. In addition, since the light guide members 20 for which calibration processing
has been completed and the light guide members 20 for which calibration processing
will be performed can be identified, it is possible to prevent the operator from selecting
a wrong light guide member 20 to be subjected to calibration processing from a plurality
of light guide members 20.
<Modifications>
[0128] Note that the embodiments disclosed here should be considered illustrative and not
restrictive in all respects. It should be noted that the scope of the present invention
is indicated by claims and is intended to include all modifications (modified examples)
within the meaning and scope of the claims and equivalents.
(First Modification)
[0129] For example, in the above-described embodiment, an example is shown in which the
light source 10 includes the first light source 13a for generating the therapeutic
light 80 and the second light source 13b for generating the identification light 90,
but the present invention is not limited thereto. In the present invention, the light
source for generating the therapeutic light 80 and the light source for generating
the identification light 90 may be the same light source.
[0130] For example, in FIG. 11, each light source unit 11 of the light source 10 includes
a single first light source 13a. The light source unit 11 is not provided with a dedicated
light source (second light source 13b) for generating identification light 90, and
the first light source 13a generates the therapeutic light 80 and the identification
light 90.
[0131] Specifically, in this modification, as shown in FIG. 11(A), the drive circuit unit
17 causes the first light source 13a to output the therapeutic light 80 of the first
wavelength, based on the signal from the controller 30. The therapeutic light 80 is
laser light with intensity equivalent to Class 3 or Class 4. As shown in FIG. 11(B),
based on the signal from the controller 30, the drive circuit unit 17 causes the first
light source 13a to output the identification light 90 of a first wavelength. The
identification light 90 is light of the first wavelength generated by the first light
source 13a and is light lower in intensity than the therapeutic light 80. For example,
the identification light 90 is laser light with intensity corresponding to Class 1.
In other words, the light source 10 uses the light emitted from the same first light
source 13a as the identification light 90 by reducing the output intensity of the
light at the first light source 13a for generating the therapeutic light 80 to the
level of class 1. Note that in FIG. 11, the difference in the intensity of the therapeutic
light 80 and the identification light 90 are represented by arrows with different
thicknesses.
[0132] In this modification, the therapeutic light 80 and the identification light 90 are
light of the same wavelength (first wavelength). In this case, the identification
light 90 is light of a wavelength belonging to the first bandwidth that is blocked
by the light-shielding glasses 60, so the operator cannot visually recognize the identification
light 90 while wearing the light-shielding glasses 60. However, because the identification
light 90 is laser light with intensity equivalent to Class 1, the identification light
90 can be safely and reliably visually recognized in a state in which the operator
removed his or her light-shielding glasses 60. Therefore, in this modification, if
necessary, the operator can easily identify which light guide members 20 is connected
to which light output port 12 by removing the light-shielding glasses 60 to check
the identification light 90.
[0133] Therefore, by configuring the light irradiation device 100 as in this modification,
by making the identification light 90 sufficiently lower intensity than the therapeutic
light 80, it is possible to confirm the identification light 90 by removing the light-shielding
glasses 60. In this case, the identification light 90 can be generated using the first
light source 13a for the therapeutic light 80 without providing a separate light source
for the identification light 90, so it is possible to simplify the configuration of
the device to enable the emission of the identification light 90 separately from the
therapeutic light 80.
[0134] Alternatively, the light source 10 may be equipped with a wavelength tunable laser
device as a light source capable of changing the wavelength of the outputting light
between a first wavelength and a second wavelength different from the first wavelength.
In this case, it is possible to output the therapeutic light 80 of the first wavelength
and the identification light in the second wavelength bandwidth high in transmittance
of the light-shielding glasses 60, by a single light source.
[Other Modification)]
[0135] In the above-described embodiment, an example is shown in which the light source
10 is configured to emit the therapeutic light 80 and the identification light 90
independently from the plurality of light output ports 12, but the present invention
is not limited thereto. In the present invention, the light source 10 need not be
capable of emitting the therapeutic light 80 and the identification light 90 independently
from the plurality of light output ports 12. For example, the light source 10 may
be configured to emit the therapeutic light 80 from all of the light output ports
12 simultaneously and the identification light 90 from all of the light output ports
12 simultaneously. In this case, the light source 10 is not required to have a plurality
of light source units 11. In other words, light may be distributed from one light
source unit 11 to a plurality of light output ports 12.
[0136] Further, in the above-described embodiment, an example is shown in which the light
source 10 is configured to individually switch the emission and the emission stop
of the identification light 90 from each of the plurality of light output ports 12,
but the present invention is not limited thereto. In the present invention, the light
source 10 may simply emit the identification light 90 from all of the light output
ports 12 at the same time. Even in the case where the identification light 90 is emitted
from the plurality of light output ports 12 simultaneously, by differentiating the
patterns of lighting-on and lighting-off of the identification light 90 as described
above, the plurality of light guide members 20 connected to the plurality of light
output ports 12 can be distinguished from each other. Further, the light source 10
may be configured to emit the identification light 90 from only one light output port
12 that received the selection and not emit the identification light 90 from the plurality
of light output ports 12 simultaneously.
[0137] In the above-described embodiment, an example is shown in which in the case of simultaneously
emitting the identification light 90 from the plurality of light output ports 12,
the identification light 90 different in pattern of lighting-on and lighting-off in
unit time is shown, but the present invention is not limited thereto. The wavelength
(i.e., the color of the identification light 90) of the identification light 90 emitted
from the plurality of light output ports 12 may be differentiated. For example, by
emitting the identification light 90 in such a manner that PORT 1 is green, PORT 2
is yellow, PORT 3 is blue, and so on, the difference between the identification light
90 can be recognized.
[0138] In the above-described embodiment, an example is shown in which a plurality of first
identification operation units 73a corresponding to a plurality of light output ports
12 is provided, but the present invention is not limited thereto. In the present invention,
it may be configured not to provide a plurality of first identification operation
units 73a.
[0139] In the above-described embodiment, an example is shown in which one second identification
operation unit 73b is provided for a plurality of light output ports 12, but the present
invention is not limited thereto. In the present invention, it may be configured not
to provide the second identification operation unit 73b.
[0140] In the above-described embodiment, an example is shown in which the plurality of
first identification operation units 73a and the second identification operation unit
73b are each configured by a button (GUI) displayed on the display unit 51, but the
present invention is not limited thereto. In the present invention, the plurality
of first identification operation units 73a may be composed of mechanical switches.
Similarly, the second identification operation unit 73b may be composed of a mechanical
switch.
[0141] Further, in the above-described embodiment, an example is shown in which it is further
provided with the light detection unit 40 that accepts the emission end 22 of any
one of the plurality of light guide members 20 to detect the light output from the
emission end 22, but the present invention is not limited thereto. The light irradiation
device 100 may not be required to have a light detection unit 40. In this case, it
is sufficient to use a light detection device provided separately from the light irradiation
device 100 to perform calibration processing.
[0142] In the above-described embodiment, an example is shown in which the controller 30
is configured to control the light source 10 to emit the identification light 90 when
the calibration processing has been successfully completed, but the present invention
is not limited thereto. In the present invention, it is not necessary to perform the
control to emit the identification light 90 when the calibration processing has been
successfully completed. The completion of calibration processing may be notified by
a notification means other than the identification light 90. The notification means
is, for example, an audio output.
[0143] In the above-described embodiment, an example is shown in which the display unit
51 and the first operation unit 52 are each composed of a touch panel display, but
the present invention is not limited thereto. In the present invention, the display
unit 51 and the first operation unit 52 may be configured separately by a display
device and an input device, such as, e.g., a keyboard and a mouse. For example, it
may be configured such that a display unit 51 composed of a liquid crystal display
device or the like and a first operation unit 52, such as, e.g., a keyboard and a
mouse, are provided in a single housing in which the controller 30 and light source
10 are built in.
[0144] Further, in the above-described embodiment, an example is shown in which the touch
panel display configured by the display unit 51 and the first operation unit 52 is
connected to the controller 30, but the present invention is not limited thereto.
In the present invention, the display unit 51, the first operation unit 52, and the
controller 30 may constitute a single tablet-type terminal or other information terminal.
[Aspects]
[0145] It would be understood by those skilled in the art that the exemplary embodiments
described above are specific examples of the following aspects.
(Item 1)
[0146] A light irradiation device for irradiating a treatment target site of a subject to
which a medicine containing a photosensitive substance has been administered with
therapeutic light, the light irradiation device comprising:
a light source including a plurality of light output ports, the light source being
configured to emit the therapeutic light and identification light from each of the
plurality of light output ports, the identification light being lower in intensity
than the therapeutic light;
a plurality of light guide members each having an incident end to be connected to
one of the plurality of light output ports of the light source and an emission end
to emit light incident from the incident end; and
a controller configured to control the light source,
wherein the controller is configured to perform control to cause the identification
light to be emitted from each of the plurality of light output ports to light up the
plurality of light guide members connected to the plurality of light output ports,
respectively, in an identifiable manner.
(Item 2)
[0147] The light irradiation device as recited in the above-described Item 1,
wherein the light source is configured to emit the therapeutic light of a first wavelength
and the identification light of a second wavelength from each of the plurality of
light output ports, the second wavelength being different from the first wavelength.
(Item 3)
[0148] The light irradiation device as recited in the above-described Item 2,
wherein the second wavelength of the identification light is a wavelength outside
a first bandwidth of light-shielding glasses that block light in the first bandwidth
including the first wavelength of the therapeutic light, and the second wavelength
is a wavelength within a range of visible light.
(Item 4)
[0149] The light irradiation device as recited in the above-described Item 2,
wherein the light source includes a first light source for generating the therapeutic
light and a second light source for generating the identification light and is configured
to emit the therapeutic light and the identification light independently from the
plurality of light output ports.
(Item 5)
[0150] The light irradiation device as recited in the above-described Irem 2,
wherein the light source is configured to switch emission and emission stop of the
identification light individually from each of the plurality of light output ports.
(Item 6)
[0151] The light irradiation device as recited in the above-described Item 5, further comprising:
a plurality of first identification operation units provided corresponding to the
plurality of light output ports to receive an operation input for instructing emission
of the identification light for each light output port,
wherein the controller controls the light source to emit the identification light
from the light output port corresponding to the first identification operation unit
that received the operation input out of the plurality of first identification operation
units.
(Item 7)
[0152] The light irradiation device as recited in the above-described Item 2,
wherein the light source is configured to simultaneously emit the identification light
mutually different in pattern of lighting-on and lighting-off in unit time from each
of the plurality of light output ports.
(Item 8)
[0153] The light irradiation device as recited in the above-described Item 7, further comprising:
a second identification operation unit, one piece of the second identification operation
unit being provided for the plurality of light output ports, the second identification
operation unit being configured to receive an operation input for instructing emission
of the identification light from the plurality of light output ports,
wherein the controller controls the light source to cause the identification light
mutually different in the pattern to be emitted from each of the plurality of light
output ports according to the operation input to the second identification operation
unit.
(Item 9)
[0154] The light irradiation device as recited in the above-described Item 1,
wherein the light source includes a first light source for generating the therapeutic
light of a first wavelength, and
wherein the identification light is light of the first wavelength generated from the
first light source, the identification light being light lower in intensity than the
therapeutic light.
(Item 10)
[0155] The light irradiation device as recited in the above-described Item 1, further comprising:
a light detection unit configured to accept any one of emission ends of the plurality
of light guide members to detect light output from the emission end,
wherein the controller is configured to perform calibration processing to adjust emission
intensity of the therapeutic light at each of the plurality of light output ports
based on a detection result of the light detection unit.
(Item 11)
[0156] The light irradiation device as recited in the above-described Item 10,
wherein the controller is configured to
determine whether the calibration processing has been successfully completed based
on a comparison between a detection result of the light detection unit and a set value
of the emission intensity of the therapeutic light, and
perform control to cause the light source to emit the identification light when the
calibration processing has been successfully completed.
(Item 12)
[0157] A control method for a light irradiation device for irradiating a treatment target
site of a subject to which a medicine containing a photosensitive substance has been
administered with therapeutic light, the control method comprising:
a step of causing identification light lower in intensity than the therapeutic light
to be emitted from each of the plurality of light output ports to which the plurality
of light guide members is connected, respectively, to light up the plurality of light
guide members connected to the plurality of light output ports in an identifiable
manner; and
a step of causing the therapeutic light to be emitted from each of the plurality of
light output ports.
Description of Reference Symbols
[0158]
- 10:
- Light source
- 12:
- Light output port
- 13a:
- First light source
- 13b:
- Second light source
- 20:
- Light guide member
- 21:
- Incident end
- 22:
- Emission end
- 30:
- Controller
- 40:
- Light detection unit
- 60:
- Light-shielding glasses
- 73a:
- First identification operation unit
- 73b:
- Second identification operation unit
- 80:
- Therapeutic light
- 90:
- Identification light
- 100:
- Light irradiation device
- 101:
- Patient (Subject)
- 101a:
- Treatment target site
- 102:
- Medicine
- 110:
- Unit time